Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
WALGREEN CO. |
Business (DBA) Name |
WALGREENS NO. 02361 |
License Number |
2-4841 |
Type of Pharmacy |
Retail |
Address |
12802 E 96TH ST N |
City, State, Zip |
OWASSO,
OK 74055-5371 |
Country |
|
Issue Date |
04/09/2004 |
Renewed Date |
03/17/2014 |
Expiration Date |
03/31/2015 |
End Date |
01/27/2015 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
BEN DOUGLAS BLACKBURN - 12179 |
Status |
CLOSED |
In Process? |
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|
|
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Disciplinary Action
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that column.
04/11/2013 |
1163 |
Contact Board for more information. |
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